First Year Fellows Endoscopy Course ( August 6-7)

13_Ergonomics

Pdf Summary

The ASGE First Year Fellows' Endoscopy Course discusses the importance of ergonomics in endoscopy and provides recommendations for minimizing injuries. It is reported that up to 50% of GI trainees experience endoscopy-related injuries. However, less than 1/3 of GI fellows receive formal ergonomic education or hands-on training. This highlights the need for mandatory ergonomics training.<br /><br />The course suggests several interventions that can be applied to minimize injury. These interventions can be categorized into pre-endoscopy, intra-endoscopy, and post-endoscopy strategies. Pre-endoscopy interventions include education, setting ergonomic-related goals, and open communication among the team members. It is recommended to schedule endoscopy procedures with breaks to avoid overuse injuries and perform an ergonomic time-out checklist.<br /><br />Intra-endoscopy interventions focus on technique and teamwork. It is important to pay attention to positioning, including the tower, monitor, and bed. Changes in monitor positioning throughout the procedure may be necessary. Learners and teachers should also be positioned correctly. Ergonomics-focused instruction, micro-breaks during procedures, compression stockings, anti-fatigue mats, and led aprons are recommended for risk mitigation.<br /><br />Post-endoscopy interventions include measures for recovery and feedback. Hydration support devices, compression stockings, and radiation safety measures are suggested. <br /><br />The course also provides tips for minimizing injury risk during pregnancy. Positioning during pregnancy should be considered, and pregnant endoscopists should wear personal and fetal dosimeters. <br /><br />In terms of taking action, GI fellows are encouraged to become advocates for ergonomics, ask for direct hands-on feedback, speak up if they see poor ergonomics, and participate in ergonomics curriculum development. Collaboration with physiotherapy colleagues, conducting research on the impact of interventions, and appealing to industry for better-designed scopes are also suggested. The role of GI societies in providing standardized ergonomics training and assessment is emphasized.<br /><br />In conclusion, the ASGE First Year Fellows' Endoscopy Course highlights the importance of ergonomics in endoscopy to minimize injuries. It provides recommendations for interventions in different stages of endoscopy and emphasizes the need for mandatory ergonomics training and institutional safeguards for staff.

Keywords

ASGE First Year Fellows' Endoscopy Course

ergonomics in endoscopy

endoscopy-related injuries

GI trainees

formal ergonomic education

hands-on training

pre-endoscopy interventions

intra-endoscopy interventions

post-endoscopy interventions

minimizing injury risk during pregnancy